a. Spacing for temporary methods
1. Barrier-methods:
(i) Physical methods
• Condom
• Vaginal diaphragm
• Cervical cap
• Vaginal sponge
(ii) Chemical methods
• Foams
• Creams, jellies and pastes
• Suppositories
• Soluble films.
2. Intrauterine contraceptive devices (IUCD)
3. Hormonal methods
(i) Oral pills
• combined pill- estrogen and progesteron
• Mini-pill-progestogen only pill (POP)
• Sequential pill - 2 weeks estrogen only and then in 3rd weeks both estrogen and progestogen.
• Male Pill
• Post coital pill-
Once-a-month (long acting pill)
(ii) Depot (slow releasing) preparations
• Injectables : Depot provera
• Subcutaneous implants : Norplant
• Vaginal rings.
(iii) IUCD releasing hormone : progestasert
(4) Post conceptional methods (termination of pregnancy)
• Menstrual regulation (MR)
• Menstrual induction (MI)
(5) Behavioral methods (traditional methods)
• Sexual abstinence
• Incomplete coitus
ü cotius interrupts
ü cotius reservatus (carezzas)
ü cotius interfemora
• Natural Methods
ü Safe period (Rhythm method)
ü Basal body temperature method
ü Cervical mucus method
ü Sympto thermic method
ü Breast-feeding
ü Sex without coitus.
(6) Contraceptive immunization
-Birth control vaccine
b. Terminal or permanent methods(sterilization)
• Male sterilization – Vasectomy
• Female sterilization – Tubal ligation or tubectomy
Contraception methods suitable for Bangladesh
• The couple having two or more children. Sterilization is the best method.
• The second choice is different hormonal preparations either oral or parenteral (female partner) along with condom (male partner).
• Intrauterine contraceptive devices like ‘copper T’ is the third choice of contraception.
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